Colostomy device



Sept. 15, 1953 c M- BARON 2,652,055

i coLosIoMy DEVICE Filed May l, 1950 Patented Sept. 15, 1953 UNITEDSTATES PATENT OFFICE 4 Claims.

This invention relates to a colostomy device. More particularly it dealswith a device for covering a colostomy type of body opening or oriiice,which device may be provided either with or without separate portsthrough which the colostomy or body opening may be iiushed or irrigatedand/or drained or discharged. The colostomy device without such ports isfor ambulatory patients to protect and cover the body opening duringnormal movements.

It is an object of this invention to produce a simple, eicient,effective and economic colostomy device, which is light weight,transparent, warm to the touch (that is made of plastic material),produces a huid-tight junction with the skin of the patient surroundingthe colostomy or body opening, and is easy to install, wear, and shiftits position on the body.

Generally speaking, the colostomy device of this invention comprises aflat continuous disk or plate member, which preferably is circular inshape. Near the periphery of said plate is provided a circular ridge orrib which projects above one and the inner surface of the plate forcontact with the skin of the wearer around a colostomy or body opening,and produces a relatively uid-tight seal with the skin. For ambulatorypatients this rib may be provided with one or more small holes to permitbreathing and prevent perspiration under said plate. The irrigating anddischarging form of this colostomy device includes instead of thebreathing holes in the rib, a pair of diametrically spaced apertures orports in the plate inside the rim, one oi' which ports is preferablysmaller than the other and which is adapted for a syringe or enema tubefor ushing or irrigating the colostomy when the plate is placed so thatthis smaller hole is in line with the body opening. The larger port mayhave outwardly sealed therein an elbow duct the inner end edge of whichmay extend beyond the inner face of the plate, so that it may t closelyagainst or around the lips of the ybody opening to prevent communicationfrom the given more specific disclosure in the following description ofan embodiment of the invention taken in conjunction with theaccompanying drawing, wherein:

Fig. 1 is a plan view of the embodiment of the colostomy device adaptedfor irrigating and draining a colostomy opening shown in place on asupine patient (partly shown in dotted lines) and connected with aiiexible hose discharge duct to a bedside receiver;

Fig. Z is a side elevation of the device shown in Fig. l on a largerscale, shown in its colostomy irrigating position over a colostomy open-111g;

Fig. 8 is a plan or front View of the colostomy device shown in Fig. 2with part of the elbow broken away;

Fig. 4 is an enlarged sectional view taken along line IV-IV of thedevice shownv in Fig. 3, shown in its colostomy draining position over acolostomy opening;

Fig. 5 is a plan view of the modified form of a colostomy closure deviceadapted for ambulatory patients; and

Fig. 6 is a side elevation partially in section of the embodiment shownin Fig. I5.

Referring rst to Figs. 5 and 6 of the simplified form of the colostomydevice of this invention as adapted for ambulatory patients, there isshown a central nat circular disk or plate l near the periphery of whichis impressed a circular groove 2 forming a continuous ridge or rib 3projecting from one or the inner side of the plate I. The outer orperipheral edge of the plate I beyond the groove 2 may have a flange 4in the same plane as the plate l, and may also include diametricallyprojecting ears or lobes 5 which may be provided with slots 6 into whicha snap catch 1 at the end of an adjustable elastic band 8 may beconnected for surrounding the abdominal portion of the body of thepatient to maintain the colostomy device in its proper position over thecolostomy or body opening 9. The length of the band, however, may beadjusted at will tofit the patient. In order to permit breathing of thecolostomy opening, small vent openings lEl may be provided through therib portion 3, preferably at the top of the device so as to relieve gaspressure and prevent perspiring under the plate I without permittingliquid leakage. If desired, instead of the strap 8 and hooks 1, thecolostomy device may be anchored in place by means of adhesive tape 8',as shown in Fig. 1. The rib 3 being pressed against the skin of thepatient surrounding his body opening, forms a fluid tight seal betweenthe colostomy device and the body opening 9 (see Figs. 2 and 4). Theunit piece or member comprising plate I, rib 3 and flange 4 of Figs. 5and 6, may be molded from a light weight transparent plastic materialand is suiiiciently thin or at to permit a patient to dress with normalapparel over it and move about Without any concern either` about thecolostomy device or his colostomy.

Referring 1to Figs. 1, 2, 3 and 4 there is shown another embodiment of acolostomyv device, which may be made from and is similar to the basicstructure of the device shown in Figs. 5 and .6. In this embodiment, thecentral circular plate I is also provided with a circular groove 2forming an annular rib 3 projecting from one side of the plate I', andbeyond the SulIOllllding rib v3 may be provided a circular flange 4', inwhich there may be provided four 90 spaced slots .6', into which clips lon a belt 3 may be connected. In addition to these features the plate lis provided diametrically in line with one pair of slots 5v', a smallerDort I 2 and a larger port I6, the latter having its edge substantiallyadjacent the inside -of the rib 3' as shown in Fig. 4. The smalleropening I2 is preferably of such a diameter that a normal syringe orenema tube I3 may Ibe snugly slipped therethrough When the colostomy isin the position shown in Fig. 2, so that the tip I4 of the syringehaving orifice I5 may be inserted into the colostomy opening 9 and arinsing liquid may be injected into the opening or eolostoiny forirrigating or flushing. After the colostomy has been irrigated in thismanner the oQlostomy device may then be moved into the position shown inFig. `4 where the larger opening IE is aligned with the orifice 9, fordischarge of lthe matter ,from the colostomy. Within the larger openingI5, there may be provided a plasti@ elbow sie@ Il, which may beplastically welded at I8 to form a fluid-tight seal in the port I6, Thiselbow preferably extends slightly inside the inner face I' in thedirection of the .rib 3', so that its inner edge may contact the lips vI9 of the colostomy opening, so that the discharge of material will notalso pass through the smaller port I2. Furthermore, connected to theother end of the elbow I1 may be a large exible rubber hose or dischargeduct extension 20 which may extend into a suitable receiver, such as aslop jar 2| shown in Fig. 1, or into a stool, if the patient is in aseated position.

While there is described above the principles of this invention inconnection with ,specific apparatus, it is to be clearly understood thatthis description is made only by way of example and not as a limitationto the scope of this invention.

What is claimed is:

1. A colostomy device for a body opening comprising: a substantially natplate for covering said opening, a rib around said plate for sealingengagement with the skin surrounding said opening, a -ushing openinginto said plate, and a discharge opening in said plate.

2. A device according to claim 1 yincluding a iiange on said plateyoutside said rib, ,and means connected to said ange for attaching saiddevice to the body.

.3. A device according to claim l including an elbow duct member fittedthrough lsaid discharge opening.

v4. A device according to .claim 1 composed ot a transparent plasticmaterial.

CHARLOTTE M. BARON.

References Cited in the le of this patent UNITED STATES PATENTS ANumberName VDate 2,331,226 Pritchard Oct. 5, 194.3 2,438,769 Thomas Mar. 30,1948 2,504,872 Perry Apr. '18, y19.50 2,604,096 smith July 22, 1952FOREIGN PATENTS Number Country Date 217,480 Great Britain June 19, ,1924169,975 Great Britain V Aug. .8, 1.937

